Kingdom of Heaven University Bible College

Fort Wayne, Indiana 46807, USA

APPLICATION OF ADMISSION
Circle the Semester you wish to enter: Summer 20_____ Fall 20 _____ Spring 20______
Full-time___ Part-Time____
Evening ____ Daytime_____

A non-refundable application fee of $25.00 is due with submission of application for the Undergraduate
Program. Application fee may be paid via VISA, MasterCard, money order, or certified check. The
application fee must be received before your application will be processed.
Social Security Number_____________________________________
Name_____________________(___________________)________________________________________________________
Last
Maiden
First
Middle
Sex
Race (optional)
Home Address_____________________________________________________________________________________
Street
City
State
Zip
County
Birth date ____/_____/_______Age_____ Birthplace_____________________ Citizenship Country___________________
Home Phone (____)_________________Work (_____)_______________Email Address__________________________
Full Time ____________Part Time __________On Campus___________________ Online________________________
Planned Program_____________________________ High School Attended____________________________________
High School address_________________________________________________________________________________
Graduation Date_____________________________
GED Date________________ Name and Address of GED Test Center_________________________________________
Reason for applying to Kingdom of Heaven University Bible College__________________________________________
Programs:
_____Bachelor of Theology
_____Bachelor of Kingdom Studies
_____Bachelor of Prophetic Ministry

FAMILY DATA
Full Name (If deceased, write
deceased after name
Occupation
Education Level

Current mailing address

___ Father
___ Guardian

_____Spiritual Warfare & Deliverance Certificate Program

_____Biblical Counseling Certificate Program

___ Mother
___ Guardian

____Husband
____ Spouse

Please place an X by the proper response.

Are you interested in a Deferred Payment Plan ___________ Yes ______ No

TRANFER APPLICANTS ONLY

College/University

Location

Date of
Attendance

Number of Hours

Degree

You must submit an academic transcript from all colleges attended. If less than 12 hours were taken, a high school transcript is
also required.
Were you ever placed on: Academic Probation? Yes_____ No______ Academic Suspension?

Yes_____ No______

SPIRITUAL AUTOBIOGRAPHY:
The Spiritual Autobiography is an important part of the admissions process of Kingdom of Heaven University Bible College. It
is a statement of the students salvation experience, growth in character as a believer in Christ, call to the ministry, current
ministry for the Lord, and intended use of a degree from Kingdom of Heaven University Bible College. The institution places a
great deal of significance on this document, written in the words of the prospective student.
Expectations:

The Spiritual Autobiography must be typed

Each major area must have a header above it. Each major area must be at least a paragraph in length.
The major areas of the Spiritual Autobiography are:
a. Salvation Experience
b. Growth in the Believers Character
c. Call to Ministry
d. Current Ministry
e. Intended use of a degree from Kingdom of Heaven University Bible College

The undersigned agrees that the information furnished on this application is complete and correct and that any deliberate
omission or falsification of information may result in denial of admission or dismissal.
_____________________________________________
__________________________________
Applicants Signature
Date
PLEASE RETURN COMPLETED APPLICATION, SPIRITUAL AUTOBIOGRAPHY, AND APPLICATION FEE TO
Admissions Dept.
Kingdom of Heaven University Bible College
5800 Fairfield Ave. Suite, 110
Fort Wayne, Indiana 46807
Phone 260.408.5899/773.251-5261
Email kingdomofheavenuniversity@yahoo.com
FOR OFFICE USE ONLY
STUDENT ID/CONFIRMAITON CODE ASSIGNED:
_____________________________________________

ASSIGNED BY:
___________________________________________